*Denotes a required field. Please fill out all fields. Thank You!

*Name:

Spouse's or partner's name:

*Home address:

*City:  *State:  *Zip Code:

*Phone: Cell:  *Email Address:

*Yours or Your Partner's Occupation:

*Why do you want to adopt a greyhound?

*What characteristics would you prefer in a greyhound in terms of sex, size, personality, etc.?

*Number of hours the greyhound would be alone at one time:

*Number, names and relationships of adults in the home:

*Number of children in your home, and their ages:

*What kind of residence do you have?
House Apartment Mobile Home Condominium

*Do you own or rent your home? Own Rent

If you rent, what are the rules for pets?

Landlord's name and contact info:

Any Homeowner or Condominium Association
rules that apply to pet ownership? If so, please detail:

*Would you be willing to have a FastK9's Adoption Inc Representative visit your home? Yes No

*Would you be willing to crate the dog when it is alone during the adjustment period? Yes No

*Do you own or have access to a suitably sized airline kennel or dog crate? Yes No

*What sleeping space will be available for the dog?

*What outside space is available for the dog?

*Is that space fenced? If so what type of fence and what is the height in feet?

*Are you aware of the importance of keeping a greyhound on
a leash when outside in an unfenced area? Yes No

*Do you intend to keep your greyhound inside the house? Yes No

*Do you have a swimming pool? Yes No

*Are there stairs in your home? Yes No

*Are you willing and able to walk or let your greyhound outside
to relieve itself from 4 to 6 times daily? Yes No

Occasionally we have dogs for placement that have been injured, a broken bone, dropped muscle,
etc. They are rehabilitated before placement and usually do not have long term effects from injuries.
Would you consider adopting one of these dogs?

*Do you agree to keep a collar bearing identification tag on your greyhound at ALL times? Yes No

*Do you agree to notify FastK9's Greyhound Adoption Inc if, for any reason, you cannot keep your
greyhound, and further agree NOT to re-home the greyhound without the consent FastK9's Greyhound
Adoption Inc? Yes No

*Are ALL members of the household in TOTAL AGREEMENT about
adopting a greyhound? Yes No

*Are you aware that the greyhound's racing career is over and
can NOT be re-activated? Yes No

*Do you currently own any pets? If yes, please list the type of pet, breed, sex and age of each pet:

If you do not currently have any pets, have you previously owned a dog? If yes, what breed(s)?

How and when was the dog obtained?

What became of the dog(s) and when?

*Have you ever bred or raised dogs? Yes No

*Have you applied to adopt a retired racing greyhound from any other adoption group?
If yes, which group and when:

Please provide the name, address and phone number of your veterinarian:

*Please provide names/contact information of two personal references:

*Do you have any Sago Palm plants in the backyard? Yes No

If yes, would you agree to have the plant removed prior to adoption? Yes No